Challenges and Opportunities in the Provision of Surgical Care in Vanuatu: A Mixed Methods Analysis

Show simple item record Young, Steven en Perry, WRG en Leodoro, B en Nosa, Vili en Bissett, Ian en Windsor, John en Dare, AJ en 2017-10-29T22:32:23Z en 2016-08 en
dc.identifier.citation World Journal of Surgery 40(8):1865-1873 Aug 2016 en
dc.identifier.issn 0364-2313 en
dc.identifier.uri en
dc.description.abstract The Pacific island nation of Vanuatu faces a number of challenges in delivering surgical care to its population. We aimed to understand and document the barriers, opportunities and required actions to improve surgical care in the country using a mixed methods analysis which incorporated the perspectives of local health stakeholders.A baseline quantitative assessment of surgical capacity in Vanuatu was carried out using the WHO situational analysis tool. Twenty semi-structured interviews were then conducted on the two main islands (Efate and Espiritu Santo) with surgeons, allied health staff, health managers, policy-makers and other key stakeholders, using a grounded theory qualitative case study methodology. Initial informants were identified by purposive sampling followed by snowball sampling until theoretical saturation was reached. Interviews were open and axially coded with subsequent thematic analysis.Vanuatu faces deficits in surgical infrastructure, equipment and human resources, especially in the rural provinces. Geographic isolation, poverty and culture-including the use of traditional medicine and low health literacy-all act as barriers to patients accessing timely surgical care. Issues with governance, human resourcing and perioperative care were commonly identified by stakeholders as key challenges facing surgical services. Increasing outreach clinics, developing efficient referral systems, building provincial surgical capacity and undertaking locally led research were identified as key actions that can improve surgical care.Documenting locally identified challenges and opportunities for surgical care in Vanuatu is an important first step towards developing formal strategies for improving surgical services at the country level. en
dc.format.medium Print en
dc.language eng en
dc.publisher Springer Verlag en
dc.relation.ispartofseries World Journal of Surgery en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.title Challenges and Opportunities in the Provision of Surgical Care in Vanuatu: A Mixed Methods Analysis en
dc.type Journal Article en
dc.identifier.doi 10.1007/s00268-016-3535-9 en
pubs.issue 8 en
pubs.begin-page 1865 en
pubs.volume 40 en
dc.rights.holder Copyright: Springer Verlag en
dc.identifier.pmid 27142621 en
pubs.end-page 1873 en
pubs.publication-status Published en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 527585 en Medical and Health Sciences en Population Health en Pacific Health en School of Medicine en Surgery Department en Science en Science Research en Maurice Wilkins Centre (2010-2014) en
dc.identifier.eissn 1432-2323 en
pubs.record-created-at-source-date 2017-10-30 en
pubs.dimensions-id 27142621 en

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